Ghose, Manjushree

Ghose, Manjushree is an individual health care provider with primary practice located at 1595 Cleveland Ave , East Point GA 30344-3200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Ghose, Manjushree can be contacted via phone (404) 616-2886.

Contact Information

Primary practice address
1595 Cleveland Ave East Point GA 30344-3200
Phone: (404) 616-2886
Fax: (404) 209-1769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 042827 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042827 Georgia

Profile Details

NPI number 1386644961
LBN Legal business name Ghose, Manjushree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386644961 NPPES
Georgia MEDICAID 00821631

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